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1174194872
MATTHEW MICHAEL SMITH
OAKLAND, CA
NPI
1174194872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1434260621)
Enumeration Date
2021-07-05
Last Update Date
2021-07-05
Business Address
MATTHEW MICHAEL SMITH
425 VERNON ST
OAKLAND, CA 94610-2981
Phone number: 510-465-4569
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Mailing Address
MATTHEW MICHAEL SMITH
425 VERNON ST
OAKLAND, CA 94610-2981
Phone number: 510-465-4569
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